HomeMy WebLinkAboutBuilding 07-0166
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3.2-7.07
File
City
Applicant
I PERMIT NO. 07.0/ hiP I
I White
Pink
Yellow
(Please type or print and sign at bottom)
I ADDRESS
L
LEGAL DESCRIPTION (office use only)
LOT
BLOCK ADDITION
PIDZG.
OWNER
(N ame)
L-EGtJ 6lthl\~
(Phone)
(Address)
ZONING (office use)
Ie/SD
BUILDER
(Company Name)
(Contact Name)
(Address)
SJS~
o Fireplace
TYPE OF WORK 0 New Constr~n ODeck OPorch ORe-Roofing
OAdditlOn )\Alteration o Utility Connection
CODE: hCII.R.c. DI.B.C. 0 Mise.
Type of &nstmction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding OLower Level Finish
7 1<1 - SS03
PROJECT COST IV ALUE $
(excluding land)
I hereby certity that I have furmshed ml()rmatron on this applIcatIOn which IS to the best of my knowledge true and mITec!. I also certify that I am the owner or authollzed agent Illl" the
ahnvc-mcntlonc ropcrty and that all construction 1 conform to all eXIsting state and local laws and will proceed In accordance with submitted plans_ I am aware that the buildmg
official ca 'voke liS It lill . cause rt rmorc. I herehy agree that the CIty official or a deSignee may enter upon the propeny to pertlJrm needed rnspectrons
Contractor's License No.
Permit Valuation c51lJtJo. /J f)
Permit Fee $ (0 2... 2.5
Plan Check Fee $
State Surcharge $ IOQ
Penalty $
, Plumbing Permit Fee $ l?, /) 0
~echanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I",
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
Builder's Deposit
Other
#
TOTALDUE ~
This Application Becomes Your Building Permit When Approved
~~
llulidlllg UnlC1a1
~/2.8!o 7
D&tc
Paid
Date
f
"?-e27-t!J 2
Date
$
$
$
$
$
$
$
$
$ i 03 - 2.5"
ThiS IS to certify that the request rn the above applrcatlon and accompanYll1g documents is 111 acmrdance with the City Zoning Ordrnance and may proceed as requested TIllS document
when signed by the City Planner constitutes a temporary Certificate uf Zoning compliance and allows construction to commence Before llcclIpancy, a CntlticatL' llfOccupancy must be
I' '~ Pl'~lnnl'ngDI.'reetor ~/2i/aD?"lte ~ ~
. Special Conditions, if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Residential Buildi ermit Checklist
Basement Finish Interior Alteration 0 Single Family Homes
..
BY:~
~ Date:
3/Z8/(J 7
~
Zoning:
Building Permit # PID:
Site Address /53'-(1 ~
77a:. s.t?
Legal: L
B
Subdivision:
Existing Structur~ or NO
I. CONFORMS TO ZONING
. ORDINANCE
IC' I
NO
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? NO
Is the property located within the flood plain? Refer to Planning tJO
Does the alteration include any additional kitchens? Refer to Planning ~O
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? ~D
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a normal single NO
family home (office, group home, day care, etc.)?
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\AL TCHCK.DOC
PRIOR LAKE
INSPECTION RECORD
~ ~ "" 5
DEPARTMENT OF
BUILPING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. ISSUED
CONTRACTOR ~ PHONE
NOTE: THIS IS NOT A PER IT FOR ANY OF THE INSPECTIONS B
THE PERMIT IS BY SEPARATE DOCUMENT
~ J ] ]
1~)J i 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
E
.5-- J-r ~
S-t -II
r-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BuilDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850